Redaction Request Form

Name:

Street Address:

City:

State:

Zip Code:

Phone Number:

Document Numbers:

Note: Please list only the document numbers below (example: R1985-327124) for property records recorded that contain any of the personal information listed and then check the box of the appropriate item that is contained within these documents. Please do not list and submit any other items or personal information such as your Social Security Number below. This form is for recorded documentation by document number only. Only document numbers (example: R1985-327124) listed below will be verified and then redacted as it applies. Please list only the document numbers below (example: R1985-327124)

Document Items:

Social Security Number

Employer Taxpayer ID Number

Drivers License Number

State Identification Number

Passport Number

Checking/Savings Account Number

Credit/Debit Card Number

For any questions prior to submitting this request, please call (630) 407-5400.By submitting this request, you are attesting that you are the person whose Social Security Number or Personal Number appears on the document number(s) listed above.